Table 2. Timeline of measles importation, possible in-flight transmission and community outbreak, Australia, August to September 2010, cases numbered in order of notification.
Date | Event |
---|---|
28 July 2010 | Documented MMR vaccination of index case (case 1), refugee camp, Malawi |
1 August 2010 | Onset of symptoms case 1 |
2 August 2010 | Case 1 flies from Malawi to South Africa. Case 1 departs South Africa on flight to Australia. |
3 August 2010 | Flight arrives Australia |
4 August 2010 | Case 1 hospitalized |
6 August 2010 | VIDRL* notifies PCR positive measles result (case 1) to Victorian Department of Health, assumed to be vaccine related |
16 August 2010 | VIDRL* notifies confirmation of genotype B3 wild-type virus (case 1) to Victorian Department of Health |
17 August 2010 | Case 2 notified to Victorian Department of Health: on same flight four rows from index case Contact tracing, including the flight according to local guidelines,4 commenced |
19 August 2010 | Case 3 notified to Queensland Department of Health: 36-year-old on same flight as index case, one row from index case |
20 August 2010 | Case 4 notified to Queensland Department of Health: 29-year-old United Kingdom resident on same flight as index case, initially thought to be seated one row from index case (later confirmed to be 16 rows away) Emergency out-of-session Communicable Diseases Network of Australia teleconference convened to advise on incident management recommends contact tracing be extended to passengers a further two rows either side of the rows previously traced |
3 September 2010 | Case 5 notified to Queensland Department of Health: 32-year-old staff member of Queensland hospital, no history of overseas travel, no immediately apparent epidemiological link to outbreak; link subsequently made to case 6 Case 6 notified to Queensland Department of Health, on same flight as index case, three rows from index case, not picked up in contact tracing, hospitalized in Queensland hospital, delayed diagnosis, source of infection for case 5 |
8 September 2010 | Case 7 notified to Queensland Department of Health: 42-year-old staff member at the same Queensland hospital as case 6, exposed to case 5 in emergency department |
20 September 2010 | Case 8 notified to Queensland Department of Health: 34-year-old exposed to case 7 in emergency department while infectious |
22 September 2010 | Case 9 notified to Queensland Department of Health: 62-year-old exposed to case 7 in general practice medical clinic while infectious |
* Victorian Infectious Diseases Reference Laboratory